Carpal and scaphoid fracture incidence in south-eastern Australia: an epidemiologic study

Holloway, Kara L.; Moloney, David; Brennan-Olsen, Sharon L.; Kotowicz, Mark A.; Bucki-Smith, Gosia; Morse, Amelia G.; Timney, Elizabeth N.; Dobbins, Amelia G.; Hyde, Natalie K.; Pasco, Julie A.

doi:10.1007/s11657-015-0215-6

Cited by 11 publications

(21 citation statements)

References 19 publications

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“…The high ratio has been explained by male predominance and the physical demands placed on military personnel. Nonetheless, despite substantially lower overall fracture rates (32/100 000) others have demonstrated similar peak fracture incidences for young males, 153/100 000 [27].…”

Section: Discussionmentioning

confidence: 94%

“…Previous epidemiological studies have identified very few elderly people with scaphoid fracture [5,19]. However, it has previously been reported that females have a young as well as old age peak incidence [19,27]. In a recent register study, the scaphoid fracture incidence was approximately 15/100 000 for people above 70 years of age [20].…”

Section: Discussionmentioning

confidence: 99%

“…Of 13 studies analyzed, four were prospective [5,[21][22][23], and six retrospective [18,19,[24][25][26][27], one of which focused on proximal pole fractures [26]. These studies included a total of 1603 acute scaphoid fractures.…”

Section: Scaphoid Fractures In Adultsmentioning

confidence: 99%

“…In general, the peak incidence of scaphoid fractures for males are reported to be in the age group 20 to 29 years, with incidence rates from 107 to 151/100 000 [5,25,27]. Some studies reported the highest incidence among males in their early twenties from 20 to 24 years [19,28].…”

Section: Scaphoid Fractures In Adultsmentioning

confidence: 99%

“…Finally, some authors found the highest incidence of scaphoid fractures (88/100 000) among teenagers from 15 to 19 years of age [18]. Compared to males, females have an earlier peak incidence, in the age group 10-19 years of age, with incidence rates from 14 to 46/100 000 [5,19,27]. One study reported on an even earlier peak in females, in the age group 10 to 14 years, with an incidence of 18/100 000 [18].…”

Section: Scaphoid Fractures In Adultsmentioning

confidence: 99%

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Epidemiology of scaphoid fractures and non-unions: A systematic review

Jørgsholm¹,

Ossowski

Thomsen

et al. 2020

Handchir Mikrochir Plast Chir

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Background The scaphoid is the most commonly fractured carpal bone in adults as well as in children. Previous studies have reported a wide range of fracture incidences. Scaphoid fractures and non-unions in children have been sparsely investigated. Aim To perform a systematic review of the current literature on epidemiology of scaphoid fractures and non-unions in adults and children. Methods An electronic literature search was conducted investigating all studies in the literature published between January 1989 and June 23 2020. The systematic review following the PRISMA guidelines and searching in PubMed, Embase, Web of Science and Cochrane library databases was done in June 2020. Results 42 studies met our inclusion criteria, 6 studies were prospective, 32 were retrospective and 4 were register studies. The majority of studies relied on conventional radiographs for diagnosis. Scaphoid fractures in adults are predominately found in males with a peak incidence in the age group from 20 to 29 years. Incidence rates in males are reported from 107 to 151/100 000. Females have an earlier peak, in the age group 10 to 19 years, with an incidence from 14 to 46/100 000. Most fractures occur in the middle third of the scaphoid representing 60–69 % of cases. Scaphoid fractures in children are predominately found in boys age 12 and above, while it seldomly occur for children younger than 9 years. In adults the risk for developing a scaphoid non-union is between 2 % and 5 %, the majority affecting males and predominately located at the middle third of the scaphoid. Non-unions among children are rare and mainly due to missed or delayed diagnosis of a fracture in the middle third of the scaphoid. Conclusion This review revealed a substantial heterogeneity among studies concerning study population, diagnosis criterial and outcome measures. Currently, evidence on epidemiology for scaphoid fractures and non-unions are low.

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Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 99%

Section: Scaphoid Fractures In Adultsmentioning

confidence: 99%

Section: Scaphoid Fractures In Adultsmentioning

confidence: 99%

Section: Scaphoid Fractures In Adultsmentioning

confidence: 99%

See 3 more Smart Citations

Epidemiology of scaphoid fractures and non-unions: A systematic review

Jørgsholm¹,

Ossowski

Thomsen

et al. 2020

Handchir Mikrochir Plast Chir

View full text Add to dashboard Cite

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The Epidemiology of Incident Fracture from Cradle to Senescence

et al. 2015

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To reduce the burden of fracture, not only does bone fragility need to be addressed, but also injury prevention. Thus, fracture epidemiology irrespective of degree of trauma is informative. We aimed to determine age-and-sex-specific fracture incidence rates for the Barwon Statistical Division, Australia, 2006-2007. Using radiology reports, incident fractures were identified for 5342 males and 4512 females, with incidence of 210.4 (95 % CI 204.8, 216.2) and 160.0 (155.3, 164.7)/10,000/year, respectively. In females, spine (clinical vertebral), hip (proximal femoral) and distal forearm fractures demonstrated a pattern of stable incidence through early adult life, with an exponential increase beginning in postmenopausal years for fractures of the forearm followed by spine and hip. A similar pattern was observed for the pelvis, humerus, femur and patella. Distal forearm, humerus, other forearm and ankle fractures showed incidence peaks during childhood and adolescence. For males, age-related changes mimicked the female pattern for fractures of the spine, hip, ribs, pelvis and humerus. Incidence at these sites was generally lower for males, particularly among the elderly. A similar childhood-adolescent peak was seen for the distal forearm and humerus. For ankle fractures, there was an increase during childhood and adolescence but this extended into early adult life; in contrast to females, there were no further age-related increases. An adolescent-young adult peak incidence was observed for fractures of the face, clavicle, carpal bones, hand, fingers, foot and toe, without further age-related increases. Examining patterns of fracture provides the evidence base for monitoring temporal changes in fracture burden, and for identifying high-incidence groups to which fracture prevention strategies could be directed.

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Concomitant hook of hamate fractures in patients with scaphoid fracture: more common than you might think

2017

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ObjectiveThe scaphoid is the most commonly fractured carpal bone. The presence of a concomitant hook of hamate fracture is of particular relevance given that it is often occult on routine wrist/scaphoid radiographs and that hook of hamate fractures are prone to symptomatic non-union, resulting in chronic ulnar wrist pain. Prompt diagnosis and immobilisation/fixation may minimise such complications. Our study is aimed at assessing the frequency of concomitant hook of hamate fractures in patients with scaphoid fractures.MethodsHook of hamate fracture is often occult on wrist/scaphoid radiographs. Hence, we identified all 2,568 CT and MRI studies performed to investigate scaphoid fracture at our institution from April 2005 to March 2016. Three hundred and twelve out of 2,568 cases were confirmed to have a scaphoid fracture. Images were then retrospectively reviewed by a Consultant Musculoskeletal Radiologist and Musculoskeletal Radiologist Trainee to assess for the presence of concomitant hook of hamate fracture and, if present, whether this was identified on initial reporting.ResultsConcomitant hook of hamate fracture was identified in 10.3% of cases (32 out of 312, 30 on CT, 2 on MRI); most were minimally/non-displaced. Sixty percent of fractures identified on CT were missed on the initial review (18 out of 30). Both cases identified on MRI had been initially reported.ConclusionScaphoid fracture is associated with higher than expected rates of concomitant hook of hamate fracture. Given the potential morbidity associated with hook of hamate fracture, this should be considered a review area when investigating scaphoid injury. These fractures are often minimally displaced, hence easily overlooked on CT. MRI may therefore be superior when investigating radiographically occult scaphoid fractures.

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Carpal and scaphoid fracture incidence in south-eastern Australia: an epidemiologic study

Abstract: Almost all fractures were the result of a fall. In males, carpal fractures were sustained mainly during early adulthood and in females during adolescence and after menopause. Incidence rates for males were higher than those in females for both scaphoid and non-scaphoid fractures.

Cited by 11 publications

References 19 publications

Epidemiology of scaphoid fractures and non-unions: A systematic review

Epidemiology of scaphoid fractures and non-unions: A systematic review

The Epidemiology of Incident Fracture from Cradle to Senescence

Concomitant hook of hamate fractures in patients with scaphoid fracture: more common than you might think

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